Organization
MS VAISMAN MEDICAL SERVICES A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VAISMAN MD (PRESIDENT CEO)
(818) 506-6937
Entity
Organization
Contact information
Practice address
11724 VENTURA BLVD, SUITE A, STUDIO CITY, CA 91604
(818) 506-6937
(818) 506-2594
Mailing address
11724 VENTURA BLVD, SUITE A, STUDIO CITY, CA 91604
(818) 506-6937
(818) 506-2594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A38899
CA
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
A38899
CA
225100000X
Physical Therapist
—
—
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A388990
BLUE SHIELD
CA
05
—
00A388990
—
CA
01
—
047692
HEALTH NET
CA
01
—
124100111
PACIFICARE REGAL HMO
CA
01
—
146780057
PACIFICARE NIPA HMO
CA
01
—
146970061
PACIFICARE ST VINCENT
CA
01
—
19190
CARE 1ST HEALTH PLAN NOBL
CA
01
—
206140013
PACIFICARE PREMIER HMO
CA
01
—
24013
UHP
CA
01
—
2840525
AETNA HMO
CA
01
—
3709552
CIGNA PPO
CA
01
—
3709552008
CIGNA PREMIER HMO
CA
01
—
4341338
AETNA PPO
CA
01
—
DK033
UNIVERSAL CARE
CA
Enumeration date
09/26/2006
Last updated
09/22/2010
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